Gender-Specific Cancer-Related Survival Analysis of Robotic Versus Laparoscopic Low Anterior Resection for Rectal Adenocarcinoma: A Multicenter Study
International Journal of Medical Robotics and Computer Assisted Surgery, cilt.22, sa.5, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 22 Sayı: 5
- Basım Tarihi: 2026
- Doi Numarası: 10.1002/rcs.70234
- Dergi Adı: International Journal of Medical Robotics and Computer Assisted Surgery
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Aerospace Database, Compendex, EMBASE, MEDLINE, Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest), Materials Science & Engineering Collection (ProQuest), Technology Collection (ProQuest)
- Anahtar Kelimeler: gender, rectal cancer, robotic surgery, survival
- Acıbadem Mehmet Ali Aydınlar Üniversitesi Adresli: Evet
Özet
Aim: This study compared short- and long-term outcomes of robotic and laparoscopic low anterior resection (LAR) for rectal adenocarcinoma using sex-stratified analyses. Methods: Patients who underwent elective robotic or laparoscopic LAR for rectal cancer were included. Prospectively maintained database of outcomes was analysed retrospectively. To minimise selection bias, groups were matched. Results: Of 409 identified patients, 380 met the eligibility criteria (mean age: 61 years, BMI: 26.2 kg/m2). In a matched cohort of males (n = 172) and females (n = 114), robotic surgery was associated with significantly shorter hospital stay (p < 0.01). Harvested lymph nodes, margins, morbidity and local recurrence were comparable in males (p > 0.05). Robotic surgery in females was associated with fewer harvested lymph nodes (p = 0.01). Five-year disease-specific survival rates did not significantly differ between approaches in either gender. Conclusions: Robotics and laparoscopic LAR achieved similar oncologic outcomes. The findings should be interpreted as sex-stratified comparisons rather than evidence of differential effect of surgical approach according to sex.